11590 SW SHEFFIELD CIRCLE 11590 SW SHEFFIELD CIRCLE
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CITY OF TIGARD
ORIEGON
s
s �n�; Clark Fomes Permit tio. »'-'�
-- f l Address; 525 SW Colony D=ive
Building Address: 115917 SW Sheffield Circle
;N
K � occupancy: Land Use Zane: R'►.5 Bldg. Type
} Comments:
Certificate is hereb--,given this Stn day of november , 19 85
max.
A
that said building may be occupies and that it complies with all
requirements of the Building Code for the City of Tigard, as approed F
by the Tigard Ci!v Council. =_ `
rx Fire Dept. B ding Inspector r'
( Building Official
Post Certificate Conspicuous Place
t e :;
AN
f s# W F
E INSPECTION N04!CE
City of Tigard Building DPPd tment
I 12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 6394171
Type of Inspection
Time A.M. P.M.
Date Requested
Permit # -�.G
t Address
Lot #r
i Owner
Builder
The following Building Code deficiencies are required to be corrected:
j
--— — -- ---- — �1
—Apt .oved
Presented to —_.—_ .- /'—'
Inspector �— �' U Disapproved
Date
CALL FOR REINSPECTION
I [] YES 1 NO
SNSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St. j
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspectione�� —_--"__—
__L..-- Time— A.M. P.M.
Date requested ------r�
^ennit
°,udress —
_ Lot #
Owner
BuilderThe following
Building Code deficiencies are required to be corrected:
i
h ^-
i
Presented to — Approved
Disapproved
Inspector
Date —
CAU FOR REINSPECTION
YES 'ew
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested 9` T_ ,Time_, _ A.M. P.M.
Address �'''� "Izz) 1 I Permit #
Owner _
Lot #_.
BuilderThe following Building Code deficiencies are required to be corrected:
Press;• Approved
Inspector ._
[disapproved
Date ---
CALL FOO ?EINSPECTION
r,.S C❑ NO
BUILDING PERMIT APPLICATION T,GARD DATE --A�'�'��'�n ---,tg?�5- 5 520
THE UNDERSIGNED HEREBY APPLES FOR A PERMIT FORTH E WORN HEREIN INDICATED BUILDER PHONE Ak"641L
OR AS SHOWN AND AFPRC 'ED IN THE ACCOMPANYING PLANS AND` 3ECIFICATIONS. OWNER PHONE 34 —
LOT NO. ---
OWNER �], }�----_--- ...._ JOB ADDRESS 11590 Sig S1�ot;. ,&&d Ci rCtr
ARCHITECT
ENGINEER
BUILDER Clark Homes* fnc. _ ADDRESS 525 SW Colotiey Ur. DESIGNER --
STRUCTURE_ EXNEW ❑ REMO_DEL_ __C J ADDITION_ ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITICN
U RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ''�] STORAGE ❑ SLAB❑ FENCE
sow
OCCUPANCY --A--3 LAND USE ZONE R-4.5BLDG_TYPE i�Yl FIRE ZONE--PLAN,-HECKBY f'TIN HEAT= =
Construct sigj le fsattrily ctw�li w aCCsche�d�rss� e. —, _
SEWERPERMIT# 26509 Gaeta&e —
OCC.LOAD FLOOR LOAD 40 HEIGHT_ 20#10.STORIES (I — AREA 1587 NO.BEDROOMS VALUE 58LU00.
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE _RIGHT SIDE
Permit 3Ui.(tV THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN EHE BUILDING 'or) , ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 199.5` _ WORK WILL BE DUNE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND IOPDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub total 506.5:> — RESTRICTIVE COVENANTS. CONTRACTOP AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE SEPARATE PERMITS REQUIRED F%?R SEWER,PLUMBING AND HEATING.
State Tax 12.28
SDC - Ouugt• :;
Total 518.83 ---
PDC# 1 $1yJ U(I APPLICANT OR AGENT
By
Recelpt No.
Approved Blw %r. AUDRE88
r`
DATE TYPE INSPECTION RErAAR" PLUMBING DATE
A Permit No.
Fixture
Final
HEATING •
Contract n Ir.aMt
PeiNmt N
c
Final
sc:V.F.R
Final_
`DRIVEWAY
nal
r
Storm fm
, Dr dnegs
(Rain Ornin)Finel
Curb&SWIM Final
Approach
TEMPORARY OCM ANCY
BED676iPT7FINAC ce TlrlCA Final
'rrRTII-'ICP.',E OCCUPANCY
I (I l..ndscnp
BUILDING PERMIT APPLICATION TIGARD OATF /7 �¢ 19
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WCIRK HEREIN INDICATED BUILDFR DHONEZ y«5 i2
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PH9NFf
l 1 LOT NO.
JOB ACORESS
OWNER rp� .—
ARCHITEC►
ENGINEER
BUILDER C � n� �"T ,�'�'G_ ADDRESS Sly' Lc OA "-Y L'
DESIGNER
STRUCTURE 1P} NEW _ ❑ REMODEL _y❑ ADDITION M REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLI
RESIDENCE ❑ COMM U EDUCATIONAL ❑ GOV-T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE G STORAGE ❑ SLAB❑ FE
cc::.i FANCY LA-4n USE ZOI IE �r BLDG.TYPE _' ..�L PLAN CHECK BY NEAT
SB*4F-R PERMIT M_
OCC.LOAD FLOOR LOAD HEIGHT ,?t !/ STORIES_ AR S f' NO.BEDROOMS VA'I UG)
8UlLUlNG!?EPARTMENT REAR LEFT SIDE RIGHT SIDE
SFT BACKS FRON l'
Permit GTHIS PERMIT IS ISSUED !A.JJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOI
REGULATIONS AND ALL APPt_ICAALE CODES AND ORDINANCES, AND IT IS IIERc3Y AGREED TY.AT
�Plttn Check f WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICAT104S AND IN CorAPUA
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT W
Sub-total S' RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSII
fff G UCENSE_SEPARATE PERMITS REQUIRED FOR SEINER,PLUfABING AND HEATING.
Stam Taz 7 t7
1 r � SOC
Total _. --- _--- — --
By CJt -
pr. APPLICANT OR AGENT
I Receipt No. ADDRESS NM01iE �~
Ap r yr. _JI
SSDC --- $ .c S v ��ti /F 7. Y"zy
SOC
Pic
SEWER CONNECTION 5
SEWER INSPECTION S
SEWER SURCHARGE
flu i I d i ng Perm i t No. �S- 0
1.0cat ion 90
Uate
Certification of Registration
With the Builders hoard
1 . I�E�Y.�y/.5 � C69eA,— , doing business as (dba) ,
am registered under the provision,.
of OR'_ Chapter 701 Oregon Homebuilders Law) .
Fly Builders Board Registration Umber is
Fly registration is in full force and effect and expires on
Signature
I
I
BUILDING RECEIPT
NAME: DATE'
AOCT. N DESCRIPTION AMOUNT
10-132 Building Permit Fees
10-131-600 Plumbing Permit Fees S
10-431-601 Mechanical Permit Fees =
10-230-501 State Building Tax
10-133 Plans Check Fee $ =----
30-113 Sewer Connection (20X)
30-202 Sewer Connection (80X)
30-411 Sewer Inspection
51-118 Strwe�` System Dew. Charge (SDC)
52-419-610 Parks I Sy,tem Dew. Charge (PDC)
52--419--620 Parks II System Dew. Charge (PDC) -� —
31-450 Stora Drainage System Dew. Chrg (SSDC)
r
10-230-505 TRFD (95%) s
10-478 TkFD (5%) s ----
10-230-506 WAshington County Firs Ot (95%)
10-478 Washington County Fire N1 (5i)
Ame -t/Wed : �' �`� l-
[0-220 ewood g
TOTAL
i
(be/1214P)
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